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Active, not recruitingNCT07233382Updated Aug 18, 2026

Assessing the Efficacy of Probiotics in Prevention of NEC in Preterm Babies

An interventional study of Probiotic and 10% dextrose in NEC and NEC - Necrotizing Enterocolitis, sponsored by Hayatabad Medical Complex. Active, not recruiting at 1 site in Pakistan. Open to participants aged Up to 1 Day, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-08-18.

Sponsored by Hayatabad Medical Complex · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
196
Allocation
Randomized
Ages
Up to 1 Day
Sex
All
01

Study summary

The goal of the study is to check efficacy of probiotics in preventing necrotizing enterocolitis. The main questions would be if the preterm baby developed NEC or not.

Read the detailed description

: In the last five years, many systematic reviews have shown the benefit of Probiotics in prevention of NEC and Sepsis in preterm babies but most of these studies have been done in the developed countries. Although the overall benefit has been tilted In favor of use of probiotic however a definitive consensus has not been reached due to inconsistencies in results. Moreover, the impact of multistrain probiotics in our particular population has not been studied, which provides the rationale for our research

02

Conditions studied

  • NEC
  • NEC - Necrotizing Enterocolitis
03

In context

Enterocolitis, Necrotizing

228 studies on the registry are indexed under Enterocolitis, Necrotizing; 44 are open to participants now.

This study's planned enrollment of 196 is above the median of 103 across 127 interventional studies indexed under Enterocolitis, Necrotizing.

Browse Enterocolitis, Necrotizing studies →

Lead sponsor

Hayatabad Medical Complex is the lead sponsor of 13 studies on the registry; 5 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Up to 1 Day
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Male and female preterm infants with a gestational age less than 35 weeks.
  • All indoor patients and outdoor patients who present within 24hrs of birth

Exclusion criteria

Exclusion Criteria:

    • Infants with congenital or developmental gastrointestinal disorders for example omphalocele, malrotation, gastroschisis.

      • Infants with severe sepsis or gastrointestinal bleeding on presentation
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
196 participants (estimated)

Study arms

  • Active comparator
    Probiotic group - Intervention

    This group will receive intervention

    Drug: Probiotic

  • Placebo comparator
    Placebo

    This group will receive 10% DW

    Drug: 10% dextrose

Interventions

  • All preterm babies \<34 weeks Gestational age admitted within 24 hrs of life will be eligible for the study. Those full filling inclusion criteria and consenting to participate will be recruited. Consent will be obtained by team not caring for the patient. Each recruited patient will be assigned a case ID number. Based on the Randomization babies will be assigned to either the intervention group or control group. Study group: Multistrain probiotic containing a mix of Lactobacillus and Bifidobacterium spp. * Dose is 1 million international units (0.2ml or 5 drops) OD * Started as soon as feed is in initiated

    Also known as: Multistrain Probiotic

  • Drug10% dextrose

    This will receive 10% DW as placebo

    Also known as: Dextrose water

06

What researchers measure

Primary outcomes

  1. Number of participants who develop NEC on probiotic vs placebo

    Time frame: 30 days

07

Study locations

1 site
08

References and documents

Publications

  • Pammi M, Cope J, Tarr PI, Warner BB, Morrow AL, Mai V, Gregory KE, Kroll JS, McMurtry V, Ferris MJ, Engstrand L, Lilja HE, Hollister EB, Versalovic J, Neu J. Intestinal dysbiosis in preterm infants preceding necrotizing enterocolitis: a systematic review and meta-analysis. Microbiome. 2017 Mar 9;5(1):31. doi: 10.1186/s40168-017-0248-8. PubMed 28274256 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Apr 2026 (actual). Primary completion is estimated for Sep 2026, 5 months after the start.

Of 33 interventional studies with no phase under Enterocolitis, Necrotizing, half reached primary completion within 39 months of starting (the median), counting those still running; a quarter within 16 and three quarters within 59. This study's planned 5 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 14, 2025
First posted
Nov 18, 2025
StartActual
Apr 1, 2026
Primary completionEst.
Sep 30, 2026
CompletionEst.
Sep 30, 2026
Last update
Aug 18, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07233382
Lead sponsor
Hayatabad Medical Complex
Responsible party
Sponsor
First posted
Nov 18, 2025
Start date
Apr 1, 2026
Primary completion
Sep 30, 2026 (estimated)
Completion
Sep 30, 2026 (estimated)
Last update
Aug 18, 2026

Study contacts

Romisa Romisa, MBBS, FCPS
principal investigator · Hyatabad Medical Complex

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Probiotic

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